The usual increase in cholesterol in women going through menopause is 10-15% or 10–20 milligrams per deciliter. According to the National Library of Medicine, the normal range for adult cholesterol is between 125 to 200 milligrams per deciliter.
In the midst of the general activity of those years, this transition frequently goes unrecognized.
But ladies must get checked out and be aware of their statistics. Heart disease, which kills more women in the United States than any other cause (including all types of cancer combined) is a primary risk factor for high cholesterol. Additionally, the longer a person has high cholesterol, the more likely it is that the cholesterol may accumulate in their arteries and result in a heart attack or stroke.
Around midlife, several factors—such as a sedentary lifestyle, a poor diet, and weight gain—raise cholesterol levels. However, the rapid, inescapable reduction in estrogen levels during menopause stands out as the obvious factor driving this transition. In contrast to other perimenopausal symptoms like mood swings, exhaustion, and vasomotor symptoms, such as hot flashes, the rise in cholesterol normally occurs in the year leading up to and following menopause.
Researchers are discovering more about the mechanisms underlying this change, how to screen for it more effectively, and the most effective treatments for women. But admitting it is the first step. This changeover is typical. For women, menopause is a crucial moment to assess their health.
Women typically have healthier cholesterol profiles and lower incidences of cardiovascular disease than males before menopause, which normally begins around age 51 in the U.S. But that benefit disappears as menopause starts. Cardiovascular disease rates are practically equal between the sexes by the time people are in their 60s and 70s, with women having a higher risk than males by the time they are in their 80s. Additionally, early menopausal women are more vulnerable to early harm.
Even before menopause, estrogen's protective effect on cholesterol is visible as cholesterol levels fluctuate somewhat with estrogen levels during each menstrual cycle. It's still unclear exactly how estrogen affects cholesterol. Still, a significant portion of it can be attributed to the liver, where estrogen receptors play a role in determining a person's lipid profile.
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Test and Evaluate
Testing for cholesterol levels is the only technique to figure out levels around menopause. However, determining the timing is challenging. Menopause normally doesn't become noticeable until after a person has gone a full year without having a period.
According to current recommendations, most people at low risk for cardiovascular disease, starting at age 20, should have their cholesterol evaluated every five years. (Baseline cholesterol testing for children and adolescents is recommended.) If there is a family history of high cholesterol or if there has been a significant health change, such as abdominal weight gain, times of severe stress, or menopause, experts urge additional testing.
Regular testing is crucial since the risk of heart disease increases the longer high cholesterol is left untreated. A silent killer might also be cholesterol.
Naturally, not all women who experience menopause end up with high cholesterol. An average increase in cholesterol levels is typically not immediately concerning if someone's baseline cholesterol was good and if their other risk factors for heart disease are minimal.
However, if cholesterol levels or other cardiovascular disease risk factors (including family history, high blood pressure, diabetes, obesity, and smoking) are high, further testing may be necessary. A coronary calcium scan, which gauges the degree of plaque formation in the heart's arteries, is among the additional exams that doctors might advise.
Effective Treatment
The initial advice for women whose cholesterol increases to harmful levels throughout menopause is to change their lifestyle. While aging and genetics are inevitable, we may alter our lifestyles to lessen their impacts. Changing your diet can reduce cholesterol by 20 to 30 milligrams per deciliter. Prevention is the best course of action, which entails leading a healthy lifestyle for as long as feasible. Your cholesterol level's history is just as important as its current level.
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How to Prioritize Cholesterol and Why
Menopause frequently occurs during a period in women's life that may be stressful and hectic, when their professions are still going strong, and they may be caring for both their parents and their children and their families. Amid these demands, women frequently neglect their health, skip workouts, eat unhealthily, and skip out on regular medical care, such as cholesterol screenings.
However, it's crucial to have good practices now. Because women are at a significantly higher risk of heart disease over the next ten years, a little bit more exercise and a little bit more attention to food can really make a big difference. The harsh reality is that what used to work to stay healthy may no longer be effective due to the unavoidable metabolic changes that occur around middle age.
You must adjust since your body is changing.
This can result in a high cholesterol reading—often for the first time in a woman's life—when a hormone change is accompanied by weight gain.
Women don't necessarily need to start running marathons or even go completely vegan to counteract cholesterol fluctuations brought on by menopause. Consume a diet low in processed foods and refined carbs and high in fruits, vegetables, and whole grains, such as the Mediterranean diet, to maintain a healthy heart.
Getting enough sleep and managing stress are two additional (sometimes ignored lifestyle changes) that can benefit cholesterol and overall cardiovascular and metabolic health.
It's normal to gain weight and experience worse cholesterol, but with the help of the aforementioned advice, you can overcome all these problems.